Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Adult Primary Care Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
2040 N SHADELAND AVE, SUITE 310, INDIANAPOLIS, IN 46219-1734
(317) 355-2700
(317) 355-2929
Mailing address
2040 N SHADELAND AVE, SUITE 310, INDIANAPOLIS, IN 46219-1734
(317) 355-2700
(317) 355-2929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200325490Z
—
IN
01
—
DA8370
RR MEDICARE
IN
Enumeration date
05/18/2006
Last updated
08/04/2010
Update your record
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